Clinical investigation: Different types of optic disc shape in patients with advanced open-angle glaucoma

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書誌事項

タイトル別名
  • Clinical investigation Different types of optic disc shape in patients with advanced open angle glaucoma
公開日
2010
DOI
  • 10.1007/s10384-010-0816-y
公開者
[Tokyo] : [Springer Japan]

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説明

To study the characteristics of patients with advanced open-angle glaucoma.A hospital-based retrospective study was performed. Advanced glaucoma was defined as visual acuity of 0.3 or less, or mean deviation of -24 dB or less. First, we screened patients with advanced glaucoma and classified their glaucoma types. For patients with open-angle glaucoma (OAG), including both primary open-angle glaucoma (POAG) and normal-tension glaucoma (NTG), disc types were classified into four groups: focal ischemic (FI), myopic glaucomatous (MY), senile sclerotic (SS), and generalized cup enlargement (GE).After checking the medical history of 750 glaucoma patients, we classified 141 (18.8%) as having the advanced stage of the disease. The proportion of patients with advanced OAG was 47% (28% POAG, 19% NTG). The classification of optic disc appearances in OAG patients showed that in patients with POAG the predominant disc type was GE (P = 0.0012) and in those with NTG it was MY (P0.0001).In OAG patients in this study with severe glaucomatous damage, the predominant disc phenotype was GE in patients with POAG and MY in those with NTG.

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